Provider Demographics
NPI:1326421702
Name:FRIEH, SHIRLEY (MSN, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:SHIRLEY
Middle Name:
Last Name:FRIEH
Suffix:
Gender:F
Credentials:MSN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIVERSITY AT BUFFALO COUNSELING SERVICES
Mailing Address - Street 2:120 RICHMOND QUAD
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14261-0001
Mailing Address - Country:US
Mailing Address - Phone:716-645-2720
Mailing Address - Fax:716-645-2175
Practice Address - Street 1:UNIVERSITY AT BUFFALO COUNSELING SERVICES
Practice Address - Street 2:120 RICHMOND QUAD
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14261-0001
Practice Address - Country:US
Practice Address - Phone:716-645-2720
Practice Address - Fax:716-645-2175
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-03
Last Update Date:2016-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF401865363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health